Royal, Randall Mac
Royal, Randall Mac is an individual health care provider with primary practice located at 103 Carter Park Dr Suite A, Seneca SC 29678-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Royal, Randall Mac can be contacted via phone (864) 482-2360.Contact Information
Primary practice address
103 Carter Park Dr Suite A
Seneca SC 29678-1152
Phone: (864) 482-2360
Fax: (864) 482-2635
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28697 | South Carolina |
Profile Details
NPI number | 1053515791 |
---|---|
LBN Legal business name | Royal, Randall Mac |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2007 |
Last updated | Jan 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053515791 | NPPES |
South Carolina | MEDICAID | 286979 |
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